This isn’t the first time Dr Paez has shared photos of the beauty queen however, having posted a shot of her just after she was crowned runner up in the Miss Universe 2018 pageant.

Though he tagged that phot with “#nosejob” and “#rhinoplasty” the before and after images he posted recently appear as if Gutierrez has had surgeries on her chin and forehead as well, however it is unclear if Dr Paez is responsible for those.